title: Using nursing practice guidelines for the prevention of multidrug-resistant tuberculosis among hospitalized adult patients in Bangladesh.
abstract: Multidrug-resistant tuberculosis (MDR-TB) is one of the major public health concerns worldwide particularly in developing countries, including Bangladesh. Thus far, there are no well-validated clinical guidelines for the prevention of MDR-TB. This study aims to evaluate the improvement in nurses' practice using the newly developed Nursing Practice Guidelines for the Prevention of MDR-TB (NPG: MDR-TB) among hospitalized adult patients in Bangladesh. The guidelines were developed, disseminated and evaluated among 64 nurses by assessing nursing practice for the prevention of MDR-TB during pre- and postimplementation of the guidelines. Significant differences between pretest and post-test mean scores of nursing practice for the prevention of MDR-TB in case finding and case holding were found in three levels of wards, including Level 0 (non-TB), Level 1 (TB) and Level 2 (MDR-TB) (P < 0.001). This indicated that the guidelines might be applicable to reduce the development of MDR-TB in hospitals. However, this was a preliminary study with a limited time frame. Further evaluation is, therefore, needed.
authors.affiliation: Faculty of Nursing, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
authors.forename: Mohammad Nurul
authors.initials: MN
authors.lastname: Anowar
authors.forename: Wongchan
authors.initials: W
authors.lastname: Petpichetchian
authors.forename: Sang-arun
authors.initials: SA
authors.lastname: Isaramalai
authors.forename: Piyanee
authors.initials: P
authors.lastname: Klainin-Yobas
mesh_terms: D000328:Adult; D001459:Bangladesh; D006760:Hospitalization; D006801:Humans; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires; D018088:Tuberculosis, Multidrug-Resistant / Q000451:nursing / Q000517:prevention & control*
keywords: multidrug-resistant tuberculosis; nursing practice guidelines; nursing practice improvement; prevention of multidrug-resistant tuberculosis; preventive nursing practice